Anaesthesia for elective inguinal hernia repair in rural Ghana - appeal for local anaesthesia in resource-poor countries

• Verfasst von: Wilhelm, Torsten [VerfasserIn]
• Verfasst von: Anemana, S. [VerfasserIn]
• Verfasst von: Kyamanywa, P. [VerfasserIn]
• Verfasst von: Rennie, J. [VerfasserIn]
• Verfasst von: Post, Stefan [VerfasserIn]
• Verfasst von: Freudenberg, S. [VerfasserIn]
• Titel: Anaesthesia for elective inguinal hernia repair in rural Ghana - appeal for local anaesthesia in resource-poor countries
• Verf.angabe: T.J. Wilhelm, S. Anemana, P. Kyamanywa, J. Rennie, S. Post, S. Freudenberg
• E-Jahr: 2006
• Jahr: July 1, 2006
• Umfang: 3 S.
• Fussnoten: Gesehen am 30.05.2022
• Titel Quelle: Enthalten in: Tropical doctor
• Ort Quelle: London : Sage, 1971
• Jahr Quelle: 2006
• Band/Heft Quelle: 36(2006), 3, Seite 147-149
• ISSN Quelle: 1758-1133
• DOI: doi:10.1258/004947506777978046
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1805163760

Abstract

Local anaesthesia has been identified as the most favourable anaesthesia for elective inguinal hernia repair with respect to complication rate, cost-effectiveness, and overall patient satisfaction., Operation theatre notes in all seven hospitals in the Northern Region in Ghana over the period of 1 year were reviewed. Only 22.4% out of 1038 repairs were performed under local anaesthesia while predominantly spinal and general anaesthesia were used (48.0 and 29.6%, respectively). African surgeons chose local anaesthesia far less frequently than visiting overseas surgeons (15.6 versus 27.7%, respectively)., All surgeons in resource-poor countries should be encouraged to use local anaesthesia more frequently for elective inguinal hernia repair. Valuable resources in sub-Saharan African hospitals could be saved, especially if used in combination with outpatient surgery., The technique should be taught in teaching institutions. A simple step-by-step technique is described.